Tubbs, Richard Shane

Tubbs, Richard Shane is an individual health care provider with primary practice located at 1415 Tulane Ave Fl 5 , New Orleans LA 70112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Tubbs, Richard Shane can be contacted via phone (504) 988-5561.

Contact Information

Primary practice address
1415 Tulane Ave Fl 5 New Orleans LA 70112
Phone: (504) 988-5561
Fax: (504) 988-1731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA053 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60600928 Washington

Profile Details

NPI number 1518070036
LBN Legal business name Tubbs, Richard Shane
Credentials PHD,PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518070036 NPPES
Alabama Other 051509068 BCBS OF AL
Alabama MEDICAID 051509068 BCBS OF AL
Alabama Other 970027041 BCBS OF AL

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